Assessment of Intrauterine Contraceptive Device Utilization and associated factors for Low Utilization among clients of Family Guidance Association Clinics in Addis Ababa, Ethiopia
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Media type:
E-Book
Title:
Assessment of Intrauterine Contraceptive Device Utilization and associated factors for Low Utilization among clients of Family Guidance Association Clinics in Addis Ababa, Ethiopia
imprint:
[Erscheinungsort nicht ermittelbar]: [Verlag nicht ermittelbar], 2016
Language:
Not determined
Origination:
University thesis:
Dissertation, 2016
Footnote:
Description:
Introduction: Although intrauterine contraceptive device (IUCD) method is the safest, very effective, long acting and reversible contraceptive method, it has been used at a very low rate in many developing countries compared to other modern contraceptive methods. Objective: The objective of the study was to assess the utilization of IUCD method and factors associated with utilization among women of reproductive age in Addis Ababa family Guidance Association of Ethiopia (FGAE) clinics. Methods: Facility based cross sectional study was conducted from March 1, 2016 to April 30, 2016, employing both quantitative and qualitative methods. Data for quantitative study was coded, entered and cleaned using Epi-info and transferred and analyzed by using SPSS version 21.0 for windows. Group comparison was assessed using Chi square analysis. Multivariate Logistic regression model was used to detect factors associate with IUCD utilization. All the tests were considered significant at p < 0.05. The qualitative data was analyzed using the qualitative thematic analysis approach. Results: A total of 108 respondents were currently using IUCD making the utilization rate 35.2%. The median duration of IUCD use was 33 months (Range: 1 - 120 months). Group comparison showed that marital status (p = 0.032), knowledge score (p = 0.010), and being told about IUCD duration (p = 0.044) had statistically significant association with current IUCD use. Thus, it was found that larger proportions of married women (66.9%), clients with good knowledge score (70.1%) and those who have been told about the duration of contraception of IUCD (67.3%) were not to using IUCD. Logistic regression analysis showed that clients with high knowledge score were about 1.8 times less likely to use IUCD (AOR 1.779: 95% CI = 1.087-2.913, p = 0.022). Qualitative study showed that rumors about IUCD from other users and clients' perception about IUCD such as its side effects, including bleeding and infection, as well its possible effect to cause infertility were important barriers affecting the level of use of IUCD in the study area. Conclusion and recommendation: The present study revealed that the proportion of IUCD use & duration of IUCD use was low in the study setup and clients with good knowledge level were less likely to use IUCD. The clients in this study population were much more influenced by the rumors and wrong perceptions about IUCD use, particularly towards side effects and other perceived untoward effect. Thus, Family guidance association of Ethiopia and other public and private health institutions should extend focused (method specific) education to their clients to remove misconceptions about IUCD use.